國家衛生研究院 NHRI:Item 3990099045/13208

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Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/13208

Title:	Psychosocial illness impacts of Taiwanese cancer survivors
Authors:	Yao, G;Ko, NY;Wang, JD;Lou, HS;Wu, YL;Tsai, CL;Chiang, NJ
Contributors:	National Institute of Cancer Research
Abstract:	Aims: Past research has focused on cancer’s negative consequences. Recent research has paid increasing attention to the more positive side of psychosocial adjustment to illness. The Patient-Reported Outcomes Measurement Information System (PROMIS) Illness Impact Scale, developed by the researchers at Northwestern University, contains 46 positive and 40 negative items that are classiﬁed into four subdomains: Self-Concept (SC), Social-Impact (SI), Stress-Response (SR), and Spirituality (SP). The purpose of this study was to investigate positive and negative illness impacts on Taiwanese cancer survivors. Methods: Cancer survivors (n = 251; age: 54.79 ± 10.0) completed the PROMIS Illness Impact Scale. We calculated change scores (i.e., impact) as the discrepancy between the participants’ ratings of recalled experiences before cancer diagnosis and their ratings of post-cancer experiences. Descriptive statistics were calculated on change scores. Effect sizes (ES) provided standardized change scores. Results: Of the 86 items, more negative than positive impacts were found (59% vs. 41%). Speciﬁcally, more positive than negative impacts were noted in SP and SI subdomains, but more negative than positive impacts were noted in SR and SC subdomains. Participants showed more negative values on positive SC items but less on negative SC items. They felt stressed and upset, have more worry and fear, and felt they were a burden to family and others. However, they have no problem asking for help, to express their emotions, aware of people’s love and support, and to show their appreciation. Conclusion: Taiwanese cancer survivors reported both positive and negative impacts after diagnosis. However, more negative than positive impacts were found. The psychosocial illness impacts can be classiﬁed into four categories: social relationship, appreciation of life, self-perception, and personal strength. The perceived illness impact of cancer survivors may have implications for healthcare services.
Date:	2020-10
Relation:	Quality of Life Research. 2020 Oct;29(Suppl. 1):S91.
Link to:	https://doi.org/10.1007/s11136-020-02626-y
JIF/Ranking 2023:	http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0962-9343&DestApp=IC2JCR
Cited Times(WOS):	https://www.webofscience.com/wos/woscc/full-record/WOS:000584632700203
Appears in Collections:	[Nai-Jung Chiang] Conference Papers/Meeting Abstract

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